督脉穴位皮肤微循环灌注量的特点及艾灸命门穴对其影响的研究  

Characteristics of Microcirculatory Perfusion of Acupoints along the Governor Vessel with and without Moxibustion at Mingmen(GV4)

作　　者：郭扬 马亮 刘沛东 汪天骅 付天聪 杨正飞 郭义 杨华元[8] GUO Yang;MA Liang;LIU Peidong;WANG Tianhua;FU Tiancong;YANG Zhengfei;GUO Yi;YANG Huayuan(First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China;National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300193,China;Department of Orthopaedics and Traumatology,Wuqing District Traditional Chinese Medicine Hospital Affiliated to Tianjin University of Traditional Chinese Medicine,Tianjin 301700,China;Shenzhen Bao'an Traditional Chinese Medicine Hospital,,Shenzhen 518000,China;Canglang Hospital of Suzhou,,Suzhou 215558,China;Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China;School of Traditional Chinese Medicine,Ningxia Medicine University,Ningxia 750004,China;Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]天津中医药大学第一附属医院,天津300193 [2]国家中医针灸临床医学研究中心,天津300193 [3]天津中医药大学附属武清区中医医院骨伤科,天津301700 [4]深圳市宝安中医院,深圳518000 [5]苏州沧浪医院,苏州215558 [6]天津中医药大学,天津300193 [7]宁夏医科大学中医学院,宁夏750004 [8]上海中医药大学,上海201203

出　　处：《世界中医药》2022年第14期2026-2029,2035,共5页World Chinese Medicine

基　　金：天津市教委科研计划项目(2018KJ020)。

摘　　要：目的:通过观察健康人体本态下背部督脉穴位皮肤微循环灌注量及艾灸命门后对其影响,为经络(穴)的特异性及灸法的作用原理提供科学依据。方法:选取2015年12月至2016年6月天津中医药大学19例健康学生作为研究对象,运用激光散斑血流视频监测系统监测安静状态下艾灸命门30 min、灸后30 min督脉穴位皮肤微循环灌注量,探寻督脉皮肤微循环灌注量特征。结果:安静状态下健康人体督脉皮肤血流微循环灌注量高于膀胱经第一侧线穴位皮肤微循环灌注量(P<0.05);艾灸命门可使健康人督脉穴位皮肤微循环灌注量升高。结论:督脉与膀胱经穴位微循环灌注量存在差异;艾灸命门后,督脉穴位皮肤微循环灌注量可发生变化。Objective:This study investigated the characteristics of microcirculatory perfusion of acupoints along the governor vessel in healthy volunteers with or without moxibustion at Mingmen(GV 4),aiming to reveal the biological characteristics of the governor vessel and the mechanism of moxibustion via the laser speckle system.Methods:A total of 19 healthy volunteers at Tianjin University of Traditional Chinese Medicine were recruited from December 2015 to June 2016 for this study.The PeriCam Perfusion Speckle Imager System was used to investigate skin microcirculatory perfusion along the governor vessel before,during,and after moxibustion(30 min).Results:The microcirculatory perfusion of acupoints along the governor vessel was higher than that along the first side line of the bladder meridian of foot greater yang in the healthy volunteers without moxibustion(P<0.05).After moxibusion at Mingmen(GV 4),the microcirculatory perfusion of acupoints along the governor vessel increased significantly.Conclusion:Microcirculatary perfusion of acupoints along the governor vessel has difference compared with that along the bladder meridian.The moxibustion at Mingmen(GV 4)changes the microcirculatory perfusion of acupoints along the governor vessel.

关 键 词：督脉 膀胱经 命门 孙络 艾灸 激光散斑 穴位皮肤微循环灌注量 

分 类 号：R245[医药卫生—针灸推拿学]